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Sun Life jobs in Des Moines, IA

- 8 jobs
  • Senior Client Partner (Must reside in Iowa)

    Sun Life 4.6company rating

    Sun Life job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. Candidate must reside in the Des Moine, Iowa area. The Opportunity: The Senior Client Partner is responsible for contract deliverables, including compliance reporting, financial reporting and service level performance reporting. The Senior Client Partner is also responsible for ensuring effective coordination and communication of client requests to ensure client expectations are satisfied. How you will contribute: Responsible for on-going, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction. Provide support to DentaQuest leadership for administration of the client's program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFP and contract. Identify and communicate client expectations to DQ leadership and staff, and ensure expectations are delivered effectively. Resolve issues and strengthen relationships at various professional levels within the client's organization. Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to DentaQuest. Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance. Support innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion). Monitor changes in regulations and fee schedules, and communicate same to ensure compliance with state and federal guidelines. Perform functions that support timely and accurate reporting to clients. Responsible for updating Office Reference Manuals, implementing corrective action plan response and effectively organizing client audits. Develops and submits IODs based on CMS, market- or client-specific program requirements. Manages process for obtaining program requirements, documentation, support and other special requests from clients. Provides regular updates to senior management on internal and external issues affecting market performance. Represent DentaQuest at health fairs, conferences and advisory meetings through the State. Other duties as assigned. Bachelor's Degree in Business, Healthcare Administration (or related field) or equivalent, relevant work experience. Five years' experience working with external clients/customers; proven track record of providing superior service to internal and external customers. Well-organized and superior organizational, written and oral communication skills, particularly presentation skills. Knowledge of group benefits. Proven ability to provide consultative services to proactively meet customer needs, using management reports, offering training opportunities and recommending innovative solutions. Ability to work independently and as part of a team. Proficient with general computer software including Microsoft Excel, Word and Outlook. Proven problem-solving skills. Ability to make good judgment conclusions based on data available with minimal supervision. Ability to prioritize and organize multiple tasks with tight deadlines. Excellent customer service skills. Up to 10% travel required The Senior Client Partner is responsible for contract deliverables, including compliance reporting, financial reporting and service level performance reporting. The Senior Client Partner is also responsible for ensuring effective coordination and communication of client requests to ensure client expectations are satisfied. Responsible for on-going, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction. Provide support to DentaQuest leadership for administration of the client's program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFP and contract. Identify and communicate client expectations to DQ leadership and staff, and ensure expectations are delivered effectively. Resolve issues and strengthen relationships at various professional levels within the client's organization. Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to DentaQuest. Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance. Support innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion). Monitor changes in regulations and fee schedules, and communicate same to ensure compliance with state and federal guidelines. Perform functions that support timely and accurate reporting to clients. Responsible for updating Office Reference Manuals, implementing corrective action plan response and effectively organizing client audits. Develops and submits IODs based on CMS, market- or client-specific program requirements. Manages process for obtaining program requirements, documentation, support and other special requests from clients. Provides regular updates to senior management on internal and external issues affecting market performance. Represent DentaQuest at health fairs, conferences and advisory meetings through the State. Other duties as assigned. What you will bring with you: Bachelor's Degree in Business, Healthcare Administration (or related field) or equivalent, relevant work experience. Five years' experience working with external clients/customers; proven track record of providing superior service to internal and external customers. Well-organized and superior organizational, written and oral communication skills, particularly presentation skills. Knowledge of group benefits. Proven ability to provide consultative services to proactively meet customer needs, using management reports, offering training opportunities and recommending innovative solutions. Ability to work independently and as part of a team. Proficient with general computer software including Microsoft Excel, Word and Outlook. Proven problem-solving skills. Ability to make good judgment conclusions based on data available with minimal supervision. Ability to prioritize and organize multiple tasks with tight deadlines. Excellent customer service skills. Up to 10% travel required Salary: Salary Range: $78,100 - $117,200 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Sales - Client Relationship Management Posting End Date: 30/12/2025
    $78.1k-117.2k yearly Auto-Apply 60d+ ago
  • Quality Oversight Senior Specialist

    Sun Life 4.6company rating

    Sun Life job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must live in Iowa The opportunity: Join our Quality Management team as a Quality Oversight Senior Specialist, where your attention to detail and analytical thinking will directly impact our organization's compliance and quality objectives. This key position requires someone who thrives in a dynamic environment, can adapt to shifting priorities, and has a passion for identifying and resolving process improvements. The ideal candidate excels at pivoting between tasks, thinks creatively to solve complex challenges, and contributes to our commitment to exceptional service delivery. You'll thrive if you're naturally curious, detail-oriented, and passionate about continuous improvement. How you will contribute: Conduct comprehensive quality assurance assessments to identify process deviations and service level metric gaps Track quality contractual requirements and ensure ongoing compliance Identify potential compliance issues and communicate findings effectively to management Review and enhance documentation for clarity and accuracy Prepare and deliver quality reports to senior management and clients Coordinate quality assurance projects across multiple departments Participate in client meetings and maintain professional relationships across all organizational levels Foster a collaborative environment focused on mutual respect, cooperation, and information sharing What you will bring with you: Strong writing and communication skills with proven ability to articulate complex information clearly Keen observational skills and analytical curiosity, with talent for identifying and communicating process discrepancies or anomalies Critical thinking abilities and willingness to challenge existing processes Solid understanding of NCQA and/or URAC requirements Knowledge of federal and state healthcare quality regulations Beyond basic-level proficiency in Microsoft Word, PowerPoint, and Excel Demonstrated ability to manage competing priorities and adapt to changing requirements Advanced writing proficiency and technical communication experience Project management or coordination experience Healthcare data analysis and visualization skills Knowledge of healthcare quality management systems Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 15/01/2026
    $59k-76k yearly est. Auto-Apply 10d ago
  • Compliance Analyst II, DentaQuest (Iowa Resident)

    Sun Life Financial 4.6company rating

    Sun Life Financial job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities. How you will contribute: * Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients. * Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans. * Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies. * Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints. * Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams. * Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals. What you will bring with you: * Bachelor's degree is required * 3+ years of experience in compliance, legal or regulatory functions * 1+ years of health care or insurance benefits experience * Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. * Ability to attend additional training as requested/deemed necessary * Ability to attend in-person regulatory meetings with Agency personnel * Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures * Ability to interpret laws and regulations and communicate that information to management and line personnel * Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses * Ability to discern risks and recommend controls to mitigate regulatory compliance * Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure * Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts * Strong writing skills, with extensive policy and procedure writing experience required * Strong verbal communication skills * Strong collaborative skills, as well as analytical, problem-solving and decision-making skills * Meticulous organizational skills and attention to detail * Strong PowerPoint and advanced Excel capabilities preferred * Must reside in the state of Iowa, USA Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 14/01/2026
    $46k-64k yearly est. Auto-Apply 6d ago
  • Complaints & Grievances Specialist II, DentaQuest (IOWA)

    Sun Life 4.6company rating

    Sun Life job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Locations: Must reside in Iowa The opportunity: The Complaints & Grievances Specialist II handles for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of Maximus packets, State Fair Hearing packets as well as coordination and participation in State Fair Hearings. Accountable for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also ensures that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: Investigate and resolve complaints and grievances in accordance with State and/or Plan guidelines. Ensure all components of the grievance/complaint are researched and addressed. Complaints/grievances that this role is responsible for include: Member Complaints/Grievances Member Complaints/Grievances submitted by plan (when DQ is secondary) Provider Complaint SDOH (State Department of Health) complaints DOI (Department of Insurance) complaints BBB (Better Business Bureau) complaints Executive complaints (complaints addressed to executives of DentaQuest) Any other complaints/grievance submitted as part of the formal grievance process Prepare State Fair Hearing packets and coordinate scheduling State Fair Hearing reviews Assemble necessary information for the plan so they may appropriately investigate member appeals/complaints when we are not delegated. Monitor shared mailboxes and department e-mails to ensure cases are properly entered into department tracking system, and that requests are acknowledged and resolved timely and accurately. Manage workflow to meet department, Plan, State, and company goals and deadlines. Comply with and resolve proof of compliance and directives. Contact involved provider office to obtain information to properly review the case. Document provider's/staff's perception of the member's concerns / issues. Document all complaints/grievances/appeals in department tracking system What you will bring with you: High School Diploma or GED required. 1 year of C&G experience with demonstrated success in C&G Specialist I or 2 years' experience in claims, customer service, provider network or another operational function. Proficient with general computer software including Microsoft Excel, Word and Outlook. Excellent verbal, written, interpersonal, organizational and communication skills. Excellent research skills with ability to identify underlying issue(s) not articulated Ability to remain calm and focused in a high pressure/high workload environment Ability to work in a high stress environment. Ability to prioritize and organize multiple tasks with tight deadlines. Ability to remain organized with multiple interruptions. Ability to work overtime as needed or required to meet business objectives. Salary: At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 22/01/2026
    $26k-39k yearly est. Auto-Apply 2d ago
  • Iowa Dental Director, DentaQuest

    Sun Life Financial 4.6company rating

    Sun Life Financial job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. Candidates must reside in the state of Iowa. The opportunity: The Dental Director acts as a clinical subject matter expert for both internal entities and for the state of Iowa. Their clinical expertise may be called upon reviews claims based on medical necessity, in accordance with market contracts, evaluate appeals, counsel providers, identify providers with aberrant utilization patterns, provide clinical support for provider outreach, and provide feedback on clinical policies. How you will contribute: * Facilitate educational trainings for dental providers. * Represent DentaQuest in a professional manner at all times when interacting with clients, management, employees, the provider community, dental associates, and other key stakeholders. * Adhere to all DentaQuest policies, processes and procedures. * Identify and recommend process and productivity improvement opportunities. * Establish and maintain an understanding of dental program administration, including, but not limited to: benefit and authorization requirements for plans and/or states, claims payment and the denial process, and a business understanding of ASO and Risk relationships * Develop a strong knowledge base and overall understanding of state and federal dental regulations. * Proactively alert DentaQuest staff of potential state regulatory changes impacting dental benefits/administration. * Act as a DentaQuest liaison to the provider community, offering educations sessions associated with our dental programs. * Proactively identify and participate in activities, programs, and speaking engagements associated with Medicaid and Medicare Dental Programs * Identify and recommend regional community related activities and events (e.g. Health Fairs, Dental Screenings, Back to School Programs, etc.) DentaQuest can participate in to further our mission. * Establish and maintain an understanding of DentaQuest's Oral Health Wellness and Outreach Programs. * Review dental cases and represent DentaQuest at fair hearings, as needed or directed. * Establish and maintain strategic relationships with regional dental associations and key stakeholders for the purpose of solidifying new business and/or maintaining existing business. * Recruit qualified providers for DentaQuest networks as needed or directed. * Perform other duties as assigned What you will bring with you: Required: * Graduate of an accredited Dental School (D.D.S. or D.M.D) * Maintain an unrestricted dental license in the state of Iowa * Physically reside in the state of Iowa * At least 5 years of clinical experience preferred Preferred: * Knowledge of general dentistry * Public health or pediatric experience a plus * Efficient PC skills * Ability to use analytical/presentation tools such as Excel and PowerPoint. * Organizational and time management skills * Ability to work with a team and independently to complete assigned tasks without supervision * Ability to make independent determinations on all types of dental claims * Excellent written and verbal communication skills * Ability to distinguish between multiple market benefits * Ability to prioritize and organize multiple tasks * Ability to remain organized with multiple interruptions * Networking and Negotiation skills required * Ability to travel as needed * Required to attend additional training as requested/deemed necessary Salary: Salary Range: $131,800 - $197,700 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Medical Services Posting End Date: 04/01/2026
    $131.8k-197.7k yearly Auto-Apply 4d ago
  • Member Outreach and Engagement Consultant, DentaQuest (Iowa)

    Sun Life Financial 4.6company rating

    Sun Life Financial job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Must reside in Iowa, preferably Des Moines The opportunity: Member Outreach and Engagement Consultant develop member outreach initiatives that maximize goals related to improvements in oral health outcomes and oral health literacy and network with community organizations, providers and health plans to increase oral health awareness. How you will contribute: * Collaborate with internal teams including marketing, data science and national outreach and connect with external community groups and state agencies to develop and execute customized outreach strategies for improving oral health outcomes of enrollees * Implement enrollee outreach and education programs with the goal of improving oral health literacy as well as ensuring compliance l with contractual requirements. * Develop and implement strategy to increase enrollee utilization to and achieve dental EPSDT goals as required by client contract and/or goals. * Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness. * Manage workflow, time and program interventions within budget parameters and contractual timelines. * Provide enrollee care coordination including collaboration with Case Managers, Client Engagement and/or Provider Engagement to facilitate enrollee access to care * Track and monitor performance measures and report results to management and state agency if applicable. * Organize, plan and source community opportunities to participate in events (health fairs, faith-based organizations, schools etc.) to provide enrollees with education on oral health and when feasible secure provider to conduct onsite dental screenings. * Provide enrollees with guidance and referrals during events based on information gathered during interactions with enrollees and results of dental screening. * Attend and plan events throughout the state based on results of EPSDT metrics, county demographics and utilization patterns. Ensure events are distributed equally throughout the state, rural and urban areas and comply with quota and requirements of the contract. * Represent the company in a professional manner at all times. * Communicate to management ways to improve processes and productivity of company. * Establish and maintain professional relationships with client and community contacts. * Complete special projects as requested. What you will bring with you: * High school diploma * College degree in a related field is preferred. * 2 years job related experience. * Health education or education experience. * Familiarity with computer software such as Microsoft Office (Word, Excel, Outlook) * Typing skills of 40+ words per minute. * Effective oral communication and business writing skills. * Attention to detail, accuracy and organizational skills. * Effective interpersonal skills. * Ability to prioritize and adapt to changing priorities. * Required to attend additional training as requested/deemed necessary. * Frequent travel up to 30% of the time, including ability to travel long distances. * Experience working in a managed care environment is preferred. * Knowledge of healthcare advocacy activities is preferred. * Knowledge of the Medicaid program requirements is preferred. * Must be able to lift up to 25lbs. * Must have reliable transportation. * Spanish speaking skills highly preferred Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 08/01/2026
    $63k-91k yearly est. Auto-Apply 10d ago
  • Compliance Analyst II, DentaQuest (Iowa Resident)

    Sun Life 4.6company rating

    Sun Life job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities. How you will contribute: Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients. Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans. Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies. Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints. Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams. Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals. What you will bring with you: Bachelor's degree is required 3+ years of experience in compliance, legal or regulatory functions 1+ years of health care or insurance benefits experience Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. Ability to attend additional training as requested/deemed necessary Ability to attend in-person regulatory meetings with Agency personnel Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures Ability to interpret laws and regulations and communicate that information to management and line personnel Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses Ability to discern risks and recommend controls to mitigate regulatory compliance Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts Strong writing skills, with extensive policy and procedure writing experience required Strong verbal communication skills Strong collaborative skills, as well as analytical, problem-solving and decision-making skills Meticulous organizational skills and attention to detail Strong PowerPoint and advanced Excel capabilities preferred Must reside in the state of Iowa, USA Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 14/01/2026
    $46k-64k yearly est. Auto-Apply 4d ago
  • Member Outreach and Engagement Consultant, DentaQuest (Iowa)

    Sun Life 4.6company rating

    Sun Life job in Des Moines, IA

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Must reside in Iowa, preferably Des Moines The opportunity: Member Outreach and Engagement Consultant develop member outreach initiatives that maximize goals related to improvements in oral health outcomes and oral health literacy and network with community organizations, providers and health plans to increase oral health awareness. How you will contribute: Collaborate with internal teams including marketing, data science and national outreach and connect with external community groups and state agencies to develop and execute customized outreach strategies for improving oral health outcomes of enrollees Implement enrollee outreach and education programs with the goal of improving oral health literacy as well as ensuring compliance l with contractual requirements. Develop and implement strategy to increase enrollee utilization to and achieve dental EPSDT goals as required by client contract and/or goals. Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness. Manage workflow, time and program interventions within budget parameters and contractual timelines. Provide enrollee care coordination including collaboration with Case Managers, Client Engagement and/or Provider Engagement to facilitate enrollee access to care Track and monitor performance measures and report results to management and state agency if applicable. Organize, plan and source community opportunities to participate in events (health fairs, faith-based organizations, schools etc.) to provide enrollees with education on oral health and when feasible secure provider to conduct onsite dental screenings. Provide enrollees with guidance and referrals during events based on information gathered during interactions with enrollees and results of dental screening. Attend and plan events throughout the state based on results of EPSDT metrics, county demographics and utilization patterns. Ensure events are distributed equally throughout the state, rural and urban areas and comply with quota and requirements of the contract. Represent the company in a professional manner at all times. Communicate to management ways to improve processes and productivity of company. Establish and maintain professional relationships with client and community contacts. Complete special projects as requested. What you will bring with you: High school diploma College degree in a related field is preferred. 2 years job related experience. Health education or education experience. Familiarity with computer software such as Microsoft Office (Word, Excel, Outlook) Typing skills of 40+ words per minute. Effective oral communication and business writing skills. Attention to detail, accuracy and organizational skills. Effective interpersonal skills. Ability to prioritize and adapt to changing priorities. Required to attend additional training as requested/deemed necessary. Frequent travel up to 30% of the time, including ability to travel long distances. Experience working in a managed care environment is preferred. Knowledge of healthcare advocacy activities is preferred. Knowledge of the Medicaid program requirements is preferred. Must be able to lift up to 25lbs. Must have reliable transportation. Spanish speaking skills highly preferred Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Customer Service / Operations Posting End Date: 08/01/2026
    $63k-91k yearly est. Auto-Apply 7d ago

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